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Postconcussion syndrome: weighing up the options on balance

Balance problems, dizziness, headaches, nausea, vomiting and sensitivity to light and sound, are a few of the symptoms which may be associated with post concussion syndrome (PCS), concussion symptoms which persist longer than 21 days. This article presents a physical...

Pulse synchronous tinnitus

This article reviews the most common neurosurgical causes of pulse synchronous tinnitus. Traditionally, tinnitus has been characterised as subjective vs. objective, or vascular vs. nonvascular. The authors observe that, in some cases, pulsatile tinnitus (PT) is not heard by examiners...

Sing it, say it, sort it: singing for Parkinson’s disease

Parkinson’s disease (PD) occurs in 1% of the population aged over 60. Changes in voice and speech are among the earliest and most prevalent symptoms of PD; reduced vocal intensity, monopitch, monoloudness, breathy and hoarse voice quality, imprecise articulation, vocal...

The case of the women and the words: intensive therapy can help many years post stroke

Aphasia, a language impairment impacting on a person’s ability to speak, understand, read and write, is most commonly caused by a stroke. Speech and language therapists are trained to work with people with aphasia, often aiming for restitution and rehabilitation...

Planning for end of life care: is there a role for the speech and language therapist?

This article presents a scoping review of the research literature on the role of speech and language therapists in palliative care settings. The researchers conducted a search using several electronic databases focusing on palliative, terminal and end of life (EOL)...

Listening in noise to predict learning disability

Noise disrupts the neural coding of consonants more than vowels. Listening in noise presents a challenge for everybody, but particularly to children whose language skills are underdeveloped. This team views background noise as a disruption to the necessary neural mechanisms...

How young is too young for tympanoplasty?

This paper presents the largest series of pre-school age children undergoing tympanoplasty compared with older children. The authors have collected much prospective data on 259 children undergoing 284 surgeries so were able to perform multivariate analysis. The age groupings of...

Postauricular advancement flap for partial helix defect repair

Ear defects can be the result of trauma, burns or ablative surgery. The three dimensional structure of the pinna presents a difficult reconstructive challenge as successful ear reconstruction requires both similar tissue cover and a supporting framework. Partial ear reconstruction...

The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management - Second Edition

Medical coding has been complex, evolving, and less understood by many, although it affects every medical practitioner practice in the United States. This book presents with the essentials of coding and billing for the otolaryngologist, thereby making it efficient and...

Hi There Solutions

The COVID-19 pandemic has introduced a multitude of lifestyle challenges, and communication has been no exception to this. Not only have plexiglass barriers and masks impeded the way we verbally interact, but the transition to more frequent virtual communication has...

In conversation with Robin Youngs

Members of ENT UK (The British Association of Otolaryngologists and Head and Neck Surgeons) have a long tradition of humanitarian work in countries in Africa and Asia (see article with Professor Davis Howard in previous issue for example). The ENT...

The ear, nose and throat anaesthesia practice of Dr John Snow (1813-58)

News of the first successful public demonstration of general anaesthesia in Boston, Massachusetts in October 1846 reached Britain in mid-December of that year. James Robinson, a London dentist, gave the first anaesthetic in the United Kingdom when, on 19 December,...